Drug Indications for EMS Use
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| Albuterol-Proventil/Ventolin, Class- Sympathomimetic Bronchodilator | To relieve broncho spasm in patients with reversible airway obstructive airway disease (Asthma, Chronic Bronchitis, Emphysema) and accute attacks of broncho spasm
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| Atorphine Sulphate-Aptrophine, Class- Parasympatholytic | To increase cardiac output in symptomatic bradycardia (e.g. Altered mental status, hypotension, cardiac ectopy, chest pain, CHF), Asystole, PEA
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| Epinephrine 1:1,000-Adrenaline/Epinephrine/EPI Class- Sympathomimetic | For treatment of allergic reaction, difficulty breathing, asthma- .3-.5 mg SQ
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| Epinephrine 1:10,000-Adrenaline/Epinephrine/EPI Class- Sympathomimetic | To restore cardiac rhythm in cardiac arrest of dead Pt's- 1mg IV push every 3-5 minutes Hives, difficulty breathing, <BP .3-.5 mg IV push
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| Activated Charcoal-Actidose, Class- Absorbant | Injested poisons (acetominophen, aspirin, atropine, barbituates, and other drugs)
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| Ipratromim Bromide-Atrovent, Class- Parasympatholytic Bronchodilator | Same as Albuterol- To relieve broncho spasms and COPD
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| Amiodarone-Cordarone, Class- Antidysrythmic | Patient dead VFIB or PVT (300 mg IV push)Patient alive VFIB or PVT (150 mg IV push)
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| Aspirin, Class- Analgesic | For chest pain only, no other reason
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| Calcium Chloride 10%-Calcium Chloride, Class- Electrolyte | For treating Hyperkalcemia (elevated potassium), hypocalcemia (decreased calcium).
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| Diazepam-Valuim, Class-Sedative; Hyptnotic; anticonvulsant; benzodiazapine; antianxiety | Stop seizures, muscle relaxer, and to induce amnesia before minor surgeries and cardioversion (diminishes recall of procedure)
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| Dextrose 50%-D50W, Class- Carbohydrate | To increase blood sugar levels in Hypoglycemia
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| Diphenhydramine-Benadryl, Class- Antihistamine | Allergic reaction and Anaphylaxis (blocks histamine release)
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| Dopamine-Intropin, Class- Sympathomimetic | Hypotension (70-100mmHg) not caused by hypovolemia, to increase end-organ perfusion in cardiogenic shock
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| Furosemide-Lasix, Class- Loop Diuretic | To treat acute Pulmonary Edema and CHF
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| Glucogon-Glucogen, Class- Hormone | To increase blood glucose levels in hypoglycemia without IV access
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| Lidocaine-Xylocaine, Class- Antidysrhythmic | To convert ventricluar dysrythmias (VFIB and VTACH) in cardiac arrest to sinus rhythm
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| Magnesium Sulfate-Magnesium, Class- Electrolyte | TO reverse VFIB and Pulseless VTACH, reverse Torsades De Pointes, Asthma (after others), and manage seizures caused by Eclampsia
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| Morphine Sulfate-Morphine, Class- Narcotic Analgesic | To relieve moderate to severe pain, Vasodilation, and Pulmonary Edema
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| Naloxone-Narcan, Class- Narcotic Antagonist | To reverse the effects of narcotic analgesics, other drugs
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| Nitroglycerine-Nitrostat/Nitrospray, Class- Nitrate | To relieve chest pain in Angina and MI, Vasodilator for perfusion
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| Nitrous Oxide-Nitronox, Class- General Anesthetic | To relieve pain of muscoskeletal origin, burns, anxiety, suspected ischemic chest pain
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| Nor-Epinephrine Bitartrate-Levophed, Class- Sympathomimetic | To restore blood pressure in certain accute hypotensive states, neurogenic shock
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| Ondansterone-Zofran, Class- Antiemetic | Stop nausua and vomiting
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| Promethazine-Phenergan, Class- Antiemetic | Stop nausua and vomiting
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| Sodium Bi-carbonate, Class- Electorlyte | To treat Metabolic Acidosis
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| Terbutaline-Brethine, Class- Bronchodilator | Asthma, COPD as bronchodilator
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| Thiamine-Vitamin B1, Class- Vitamin | Delirium Tremors, Coma of unknown origin
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| Adenosine-Adenocard, Class- Antidysrhythmic | Narrow, complex paroxysmol supraventricular tachycardia refractory to vagal maneuvers
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| Methylprednisolone-Solu-Medrol, Class- Steroid | To reduce inflamation caused by severe anaphylaxis and asthma/COPD, to treat urticaria
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| AMIODARONE-Cordarone, Class: Antidyshrthmic | Antiarrhythmic for V-Fib, Unstable V-Tach
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| Digoxin-Lanoxin, Class, Cardiac Glycoside | Antiarrhythmic for SVT, A-Fib, A-Flutter, CHF, Cardiogenic Shock
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| Diltiazem-Cardizem, Class- Calcium Channel Blocker | Antiarrhythmic for PSVT, A-Fib, A-Flutter, multi-focal atrial SVT
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| Etomidate-Amidate, Class- Hypnotic | To induce sedation before intubation
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| Fentanyl-Sublimaze, Class- Narcotic Analgesic | Control severe pain, induce sedation during RSI
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| Haloperidol-Halidol, Class- Antipsychotic | To manage accute psychotic disorders
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| Labetolol-Normodyne, Class- Alpha & Beta Adrenergic | To reduce blood pressure
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| Midazolam-Versed, Class- Sedative | Sedation before intubation and for reducing seizures
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| Oxytosin-Oxytosin- Class: Hormone | Stop uterine contractions and control postpartum hemmorage
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| Succinylcholine-Anectine, Class- Depolarizing Neuromuscular Blocker | Paralytic used to ET intubate, 2-3 minutes IV, 10-30 minutes IM
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| Vasopressin-Pitressin, Class- Hormone; Vasopressor | Used a vasodialator during CPR V-Fib and V-Tach
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| Vecuronium-Norcuron, Class- Nodepolarizing Skeletal Muscle relaxant | Paralytic used to ET intubate, duration 24-40 minutes, half-life 30-80 minutes
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| Verapamil-Isoptin, Class- Calcium Channel Blocker | Antiarrhythmic for PSVT, A-Fib, A-Flutter, Unstable Angina
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| Flumazenil-Romazicon, Class- Benzodiazepine Antagonist | Benzodiazepine overdose
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| Lorazepam-Ativan, Class- Sedative | To induce sedation for cardioversion.
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